RENAISSANCE HEALTH AND WELLNESS OF TEXAS, P.A.
Osteopathic Medicine at Dallas Pkwy, Dallas, TX

License number
Texas Q2522
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: CHESTER L CARLSON D.O.
Title: MEDICAL DIRECTOR
Phone: (479) 434-4948
Address
Address
17721 Dallas Pkwy SUITE 116, Dallas, TX 75287
National Provider ID: 1881082238
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RENAISSANCE HEALTH & WELLNESS OF TEXAS, PA

4154 Normandy Ave, Dallas, TX 75205

Doing business as:
RENAISSANCE HEALTH & WELLNESS MANAGEMENT, LLC<br>Medical Management of Texas, LLC
Registration:
Jan 5, 2015
State ID:
0802128585
Business type:
Domestic Limited Liability Company (LLC)
Managing Members:
Chester L Carlson (Member, Managing Member), 1550 Pecan Rdg Dr, Alma, AR 72921,Jett D Harris (Member), 4415 S 31, Fort Smith, AR 72901,Sabrina Miller (Managing Member),...
Agent:
Jane Meggs,4154 Normandy Ave, Dallas, TX 75205 (Physical)
TIN:
32056033981

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